OBJECTIVE: The purpose of this study was to investigate the 10-year impact of Hurricane Katrina on the incidence of acute myocardial infarction (AMI) along with contributing risk factors and any alteration in chronobiology of AMI. METHODS: A single-center, retrospective, comparison study of AMI incidence was performed at Tulane University Health Sciences Center from 2 years before Hurricane Katrina to 10 years after Hurricane Katrina. A 6-year, pre-Katrina and 10-year, post-Katrina cohort were also compared according to pre-specified demographic, clinical, and chronobiological data. RESULTS: AMI incidence increased from 0.7% (150/21,079) to 2.8% (2,341/84,751) post-Katrina (P<0.001). The post-Katrina cohort had higher rates of coronary artery disease (36.4% vs. 47.9%, P=0.01), diabetes mellitus (31.3% vs. 39.9%, P=0.04), hyperlipidemia (45.4% vs. 59.3%, P=0.005), smoking (34.4% vs. 53.8%, P<0.001), drug abuse (10.2% vs. 15.4%, P=0.02), psychiatric illness (6.7% vs. 14.9%, P<0.001), medication non-adherence (7.3% vs. 15.3%, P<0.001), and lack of employment (7.2% vs. 16.4%, P<0.001). The post-Katrina group had increased rates of AMI during nights (29.8% vs. 47.8%, P<0.001) and weekends (16.1% vs. 29.1%, P<0.001). CONCLUSIONS: Even 10 years after the storm, Hurricane Katrina continues to be associated with increased incidence of AMI, higher prevalence of traditional cardiovascular and psychosocial risk factors, and an altered chronobiology of AMI toward nights and weekends. (Disaster Med Public Health Preparedness. 2019;13:217-222).
OBJECTIVE: The purpose of this study was to investigate the 10-year impact of Hurricane Katrina on the incidence of acute myocardial infarction (AMI) along with contributing risk factors and any alteration in chronobiology of AMI. METHODS: A single-center, retrospective, comparison study of AMI incidence was performed at Tulane University Health Sciences Center from 2 years before Hurricane Katrina to 10 years after Hurricane Katrina. A 6-year, pre-Katrina and 10-year, post-Katrina cohort were also compared according to pre-specified demographic, clinical, and chronobiological data. RESULTS: AMI incidence increased from 0.7% (150/21,079) to 2.8% (2,341/84,751) post-Katrina (P&lt;0.001). The post-Katrina cohort had higher rates of coronary artery disease (36.4% vs. 47.9%, P=0.01), diabetes mellitus (31.3% vs. 39.9%, P=0.04), hyperlipidemia (45.4% vs. 59.3%, P=0.005), smoking (34.4% vs. 53.8%, P&lt;0.001), drug abuse (10.2% vs. 15.4%, P=0.02), psychiatric illness (6.7% vs. 14.9%, P&lt;0.001), medication non-adherence (7.3% vs. 15.3%, P&lt;0.001), and lack of employment (7.2% vs. 16.4%, P&lt;0.001). The post-Katrina group had increased rates of AMI during nights (29.8% vs. 47.8%, P&lt;0.001) and weekends (16.1% vs. 29.1%, P&lt;0.001). CONCLUSIONS: Even 10 years after the storm, Hurricane Katrina continues to be associated with increased incidence of AMI, higher prevalence of traditional cardiovascular and psychosocial risk factors, and an altered chronobiology of AMI toward nights and weekends. (Disaster Med Public Health Preparedness. 2019;13:217-222).
Authors: Vanessa De Rubeis; Jinhee Lee; Muhammad Saqib Anwer; Yulika Yoshida-Montezuma; Alessandra T Andreacchi; Erica Stone; Saman Iftikhar; Jason D Morgenstern; Reid Rebinsky; Sarah E Neil-Sztramko; Elizabeth Alvarez; Emma Apatu; Laura N Anderson Journal: BMJ Open Date: 2021-05-03 Impact factor: 2.692
Authors: Eugene F Augusterfer; Colleen R O'Neal; Shannon W Martin; Taiwo Lateef Sheikh; Richard F Mollica Journal: Curr Psychiatry Rep Date: 2020-11-28 Impact factor: 5.285
Authors: Alexander C Razavi; Tanika N Kelly; Jiang He; Camilo Fernandez; Paul K Whelton; Marie Krousel-Wood; Lydia A Bazzano Journal: J Am Heart Assoc Date: 2020-05-16 Impact factor: 5.501
Authors: Samantha L Waddell; Dushyantha T Jayaweera; Mehdi Mirsaeidi; John C Beier; Naresh Kumar Journal: Int J Environ Res Public Health Date: 2021-03-09 Impact factor: 4.614